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KENNETH J VANANTWERP MD
NPI 1447263942
Family Medicine in Berlin, PA

Active since August 14, 2006PECOS Enrolled
87.19/100
CMS Quality Rating
426 MAIN ST, BERLIN, PA 15530(814) 267-4603(814) 267-6467 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kenneth J Vanantwerp Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J VANANTWERP MD (NPI 1447263942) is an individual family medicine provider in Berlin, Pennsylvania, licensed in Pennsylvania (MD025369E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447263942
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH J VANANTWERPCredential: MD
Location Address426 MAIN STBerlin, PA 15530-1229
Mailing Address426 Main StBerlin, PA 15530-1229 · (814) 267-4603 · Fax (814) 267-6467
Phone(814) 267-4603
Fax(814) 267-6467
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447263942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD025369E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
426 MAIN ST, Berlin, PA 15530
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Other Identifiers 3

Medicare ID-Type Unspecified188430PA
Medicaid0009359180012PA
Medicare UPINB40919

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth J Vanantwerp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.3
Promoting Interoperability100
Improvement Activities40
Cost67.99

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims27 services$37.69 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers14 claims32 services$22.80 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers26 claims104 services$2.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER NICHOLSON CLARKE D.O.
Family Medicine
426 MAIN ST
BERLIN, PA 15530
Somerset County (814) 267-4603
RUTH A SHAFFER CRNP
Nurse Practitioner (Family)
426 MAIN ST
BERLIN, PA 15530
Somerset County (814) 267-4603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Vanantwerp's NPI number?

The NPI number for Kenneth Vanantwerp is 1447263942. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Kenneth Vanantwerp located?

Kenneth Vanantwerp practices at 426 Main St, Berlin, PA 15530. The listed phone number is (814) 267-4603.

What is Kenneth Vanantwerp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Vanantwerp enrolled in Medicare?

Yes. Kenneth Vanantwerp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Vanantwerp was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.